Factors contributing to work fatigue among nurses at hospital: A study on the impact of work attitudes, shift schedules, and sleep quality

Background: Fatigue is an essential body protection mechanism, preventing further damage and allowing recovery after rest. In work, especially in the hospital environment, fatigue can affect the performance and well-being of medical personnel, including nurses. This study aims to identify and analyze factors associated with work-related fatigue among Dr. Adjidarmo Regional Hospital nurses. The main focus of this study includes the relationship between gender, length of service, work attitude, shift schedule, and sleep quality on the level of fatigue experienced by nurses. Method: This study adopted a cross-sectional design targeting a population of 256 nurses who are actively practicing at Dr Adjidarmo Regional Hospital. The study sample consisted of 75 respondents selected using a random sampling method. Data was collected through questionnaire-based interviews that accessed information from secondary and primary sources. The data obtained were analyzed univariate and bivariate to determine the prevalence and significant relationship between the variables studied and work-related fatigue. Findings: Univariate analysis revealed that out of 75 respondents, 54.7% reported experiencing moderate work-related fatigue. Demographic distribution showed that 74.7% of respondents were female, 81.3% had worked for five years or more, 50.7% showed risky work attitudes, 29.3% worked night shifts, and 52.0% reported poor sleep quality. The results of the bivariate analysis showed a significant relationship between work attitudes (P-value = 0.000), shift schedules (P-value = 0.002), and sleep quality (P-value = 0.000) with the level of work-related fatigue. Conclusion: Based on these findings, it is recommended that shift schedules be distributed evenly during the third shift to reduce nurse fatigue. In addition, stretching exercises and physical activity during work breaks should be encouraged to improve nurses' well-being and reduce fatigue-related problems. This intervention aims to improve nurses' working conditions, which can improve patient care quality and reduce fatigue's negative impact on work performance. Originality/Novelty: This study offers new insights into factors contributing to work-related burnout among nurses, focusing on specific variables such as work attitudes, shift schedules, and sleep quality. The study identifies significant correlations that have not been widely explored in the context of a regional hospital in Indonesia. By providing practical recommendations for redistributing shift schedules and promoting stretching exercises, this study contributes to the development of evidence-based intervention strategies to address burnout in the hospital workplace.

背景：疲劳是人体重要的自我保护机制，可防止机体受到进一步损伤，并在休息后帮助机体完成恢复。在工作场景中，尤其是医院环境内，疲劳会影响包括护士在内的医护人员的工作表现与身心健康水平。本研究旨在识别并分析阿吉达尔莫地区医院（Dr. Adjidarmo Regional Hospital）护士的职业相关性疲劳相关影响因素。本研究的核心关注方向为性别、工龄、工作态度、轮班制度与睡眠质量对护士疲劳程度的影响关联。方法：本研究采用横断面研究设计，研究对象为阿吉达尔莫地区医院在职的256名护士。本研究通过随机抽样法选取75名受访者作为研究样本。研究数据通过基于问卷的访谈方式收集，信息涵盖一手与二手资料。对获取的数据分别进行单变量与双变量分析，以明确各研究变量与职业相关性疲劳的患病率及显著关联程度。结果：单变量分析结果显示，75名受访者中有54.7%报告存在中度职业相关性疲劳。人口统计学分布数据显示，74.7%的受访者为女性，81.3%的受访者工龄达5年及以上，50.7%的受访者存在不良工作态度，29.3%的受访者执行夜班轮班，52.0%的受访者报告睡眠质量较差。双变量分析结果表明，工作态度（P值=0.000）、轮班制度（P值=0.002）与睡眠质量（P值=0.000）均与职业相关性疲劳程度存在显著关联。结论：基于上述研究结果，建议在第三轮班期间合理均衡分配轮班任务，以降低护士的疲劳程度。此外，应鼓励护士在工作休息期间进行拉伸运动与身体活动，以提升其身心健康水平并缓解与疲劳相关的各类问题。本干预方案旨在改善护士的工作环境，进而提升患者护理质量，并减轻疲劳对工作表现的负面影响。创新性/新颖性：本研究针对护士职业倦怠的影响因素提供了全新视角，重点关注工作态度、轮班制度与睡眠质量等特定变量。本研究明确了在印度尼西亚地区医院场景中尚未被广泛探究的显著关联。通过提出合理调整轮班分配与推广拉伸运动的实用建议，本研究为制定基于证据的医院职场倦怠干预策略提供了有益参考。